Permit �A
CITY OF TIGARD BUILDING PERMIT
PERMIT #: BUP2004 -00413
� ;� DEVELOPMENT SERVICES DATE ISSUED: 8/25/2004
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S125DD -08200
SITE ADDRESS: 09735 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R -4.5
BLOCK: LOT: 090 JURISDICTION: TIG
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: OTR FIRST: sf N: S: E: W:
TYPE OF USE: SF SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 5N : sf N: S: E: W:
OCCUPANCY GRP: R3 TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: 40 psf LEFT: 5 ft RGHT: 5 ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: 20 ft REAR: 15 ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 680.00
Remarks: Replace existing 68 sq ft deck.
Owner: Contractor:
JACK HURT RICK'S CUSTOM FENCING
9735 SW VENTURA CT 4543 SW TV HIGHWAY
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 245 -9923
Phone: 640 -5434
Reg #: LIC 50088
FEES REQUIRED INSPECTIONS
Description Date Amount Footing Insp
[BUILD] Permit Fee 8/25/2004 $62.50 Framing Insp
[TAX] 8% State Surchari 8/25/2004 $5.00 Final Inspection
[BUPPLN] Pin Rv 8/25/2004 $40.63
[CDCPLN] CDC Pin Rel 8/25/2004 $42.00
Total $150.13 •
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is
not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law
requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by
callin 03) 246=66.9 or 1- 800 - 332 -2344.
Iss ed By: ♦ /L; /_ //
■1111!-■ I
Permittee
Signature:
Call 639 -4175 by 7 p.m. for an inspection the next business day
Building Permit Application FOR OFFICE USE ONLY
City of Tigard DateB / Pernut No : „o,,,, ... .3
�
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �I
Phone: 503.639 4171 Fax: 503.598 1960 'tlµ"�
I' + � Date/B Other Permit
Inspection Line: 503.639.4175 e. W Date Ready/By. 0 See Attached Checklist for
Internet: www.ci ttgard.or us Notified/Method. Supplemental Information
.. . - , TYPE OF WORK . ` ' : ' REQUIRED DATA: T- AND 2- FAMILY
Uk New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY.OF CONSTRUCTION;, ,' : , _ work indicated on this application.
,1- and 2- family dwelling El 1 $ •680 oo
❑ Accessory building El Multi Number of bedrooms: v
❑ Master builder ❑ Other: Number of bathrooms:
' 1 JOB SITE IN' FO Total number of floors
��; - FORMATION ? AND LOCATION.- _
Job site address: 3 c 7f . V,�,�r4, - a c New dwelling area: square feet
City/State/ZIP: -'r c7 p. rd (g 9 Z Z Garage/carport area square feet
Suite/bldg. /apt. no.: Project name: Covered porch area: square feet
Cross street/directions to job site: •/} / fh EO Deck area: /' p _'square feet
Other structure area: square feet
,; REQUIRED DATA:`COMMERCIAL-USE CHECKLIST
Subdivision: Lot no.: Permit fees* are based on the value of the work performed
Tax map /parcel no. • (5 2 S �� ZOO Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK', - - - work indicated on this application.
2 n - k Valuation: $
Existing building area: square feet
New building area. square feet
K PROPERTY OWNER , • • , ❑ TENANT - Number of stories:
Name: ) Q Gic (4 k T Type of construction.
Address: q " ! 3 5 ,.t,,.. , vC .i h.-. C f • Occupancy groups:
City/State/ZIP: T A __ i d g fl V 3 Existing:
Phone: ( ) // 2 t-( S ^ ?y'Z 3 Fax: ( ) New -
❑ APPLICANT El CONTACT PERSON'-- °_ :,,:'a' '
• L ' - .:: _NOTICE ,: •
Business name. All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/ State/ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) Fax:: ( )
E -mail:
' , . , - ' , ' CONTRACTOR _
Business name: (� /c r r
' ` �5 ��'`^�' De-C ^ t'1 BUILDING, PERMIT ;FEES *''?
Address: L/ SN ' o
t'
3 -� Please refer to fee schedule.
City/State/ZIP: rj �t o- a R / ' J
ty I +l t � � D y ( Z 3 Fees due upon application
Phone. ( ) "(o — 5 -47 3y Fax: ( )
5---(564 Amount received
CCB lic.:
Date received.
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: l auN 47 Date: * Fee methodology set by Tri - County Building Industry
/ Service Board
I \Building\Pem BU
uts \P- PemutApp doe 12/03 440- 4613T(i 1 /o2/COM/WEB)
•
One- and Two - Family Dwelling '
Building Permit Application Checklist FOR OFFICE USE ONLY
City of Tigard Received Permit No
13125 SW Hall Blvd., Tigard, OR 97223 Date/By.
Phone 503.639 4171 Fax 503.598.1960 / /Hmc:di (, Associated pernuts
I
24- Hour Inspection Line: 503.639.4175 f; . I
0 Electrical 0 Plumbing 0 Mechanical
Internet: www.ci.tigard.or.us ❑ Other
THE FOLLOWING ITEMS ARE REQUIRED FOR PLAN REVIEW Yes No N/A
1 Land use actions completed. See jurisdiction criteria for concurrent reviews. ❑ ❑ ❑
2 Zoning. Flood plain, solar balance points, seismic soils designation, historic district, etc. ❑ ❑ ❑
3 Verification of approved plat/lot. ❑ ❑ ❑
4 Fire district approval required. Name of district: ❑ ❑ ❑
5 Septic system permit or authorization for remodel. Existing system capacity _ ❑ ❑ ❑
6 Sewer permit. ❑ ❑ ❑
7 Water district approval. ❑ ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. . ❑ ❑ ❑
9 Erosion control ❑ plan ❑ permit required. Include drainage -way protection, silt fence design and location of catch- ❑ ❑ ❑
basin protection, etc.
10 3 Complete sets of legible plans. Must be drawn to scale, showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full -size
sheet attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
11 Site /plot plan drawn to scale. The plan must show lot and building setback dimensions; property corner elevations (if ❑ ❑ ❑
there is more than a 4 -ft. elevation differential, plan must show contour lines at 2 - ft. intervals); location of easements
and driveway; footprint of structure (including decks), location of wells /septic systems; utility locations; direction
indicator; lot area; building coverage area; percentage of coverage; impervious area; existing structures on site, and
surface drainage.
12 Foundation plan. Show dimensions, anchor bolts, any hold -downs and reinforcing pads, connection details, vent size ❑ ❑ ❑
and location.
13 Floor plans. Show all dimensions, room identification, window size, location of smoke detectors, water heater, ❑ ❑ ❑
furnace, ventilation fans, plumbing fixtures, balconies and decks 30 inches above grade, etc.
14 Cross section(s) and details. Show all framing- member sizes and spacing such as floor beams, headers, joists, sub- ❑ ❑ ❑
floor, wall' construction, roof construction. More than one cross section may be required to clearly portray
construction. Show details of all wall and roof sheathing, roofing, roof slope, ceiling height, siding material, footings
and foundation, stairs, fireplace construction, thermal insulation, etc.
15 Elevation views. Provide elevations for new construction; minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full -size sheet addendums showing foundation elevations with cross references are acceptable.
16 Wall bracing (prescriptive path) and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑ ❑
prescriptive path analysis provide specifications and calculations to engineering standards.
17 Floor /roof framing. Provide plans for all floors/roof assemblies, indicating member sizing, spacing, and bearing ❑ ❑ ❑
locations. Show attic ventilation.
18 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems, see item 22, "Engineer's calculations."
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet long and/or any beam/joist carrying a non - uniform load.
20 Manufactured floor /roof truss design details. ❑ ❑ ❑
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas- piping schematic is required ❑ ❑ ❑
for four or more appliances.
22 Engineer's calculations. When required or provided, (i.e., shear wall, roof truss) shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore: on and shall be shown to be ap plicable to the .ro ect under review.
JURISDICTIONAL SPECIFICS
23 Five (5) site plans are required for Item 11 above. Site plans must be 8 -1/2" x 11" or 11" x 17 ". ❑ ❑ ❑
24 Two (2) sets each are required for Items 16, 19, 20 and 22 above. ❑ ❑ ❑
25 Building plans shall not contain red lines or tape -ons. "Mirrored" building plans will not be accepted. ❑ ❑ ❑
26 "Reversed" building plans must meet criteria outlined in the Permit & System Development Fees document. ❑ ❑ ❑
27 "Drawn to scale" indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size, type and location per approved project street tree plan (if applicable), and City of Tigard ❑ ❑ ❑
Street Tree List.
29 Site plan to include tree protection measures as required by conditions of approval. ❑ ❑ ❑
30 A Clean Water Services' Sensitive Area Pre - Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks, patio covers (over non - impervious surface) and accessory structures to existing residential dwellings
on a lot of record approved prior to September 9, 1995.
i:\Building\Permits \One- Two - FamilyChecklist.doc 12/03
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(503) 669-0795 (503)640 -5434. (503) 463 -8331 (360) 253-3792
www.RicksFencing.com nECEIVED
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CIT OF T IGARD - SI PLAN REVIE
BUILDING PERMIT NO.:
PLANNING DIVISION: {Z'{ . S"
Required Setbacks: ❑ Approved ❑ Not Approved
Side: Street Side:
Front. _ Garage: Rear: /S
Visual Clearance: N'A ❑ Approved ❑ Not Approved
Maximum Building Height• ...LL Feet
CWS Service Provider Letter Required: ❑ Yes ONo
❑ Received
; C a•-- '�.eA' Date: 8'= d 4
ENGINEER G DEPARTMENT:
Actual Slope: _.% ❑ Approved ❑ Not Approved
Site Plan: ❑ Approved ❑ Not Approved
By: Date:
Notes: -eat a 4r- el .L
_�✓rc�c o�c. .
CITY OF TIGARD 24 -Hour .
BUILDING Inspection Lin (50) 63914175 MST
INSPECTION DIVISION Business Line -4171
Q BUP O'O y -00 4.(13
Received Date Req ested -` AM PM BUP
Location 7 3S V-244 • • Su MEC
Contact Person Q- &.»-e— Ph (_i_11.),5_9 (-9 9 / ` 7.3 f PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int She - th/Shear
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
r: f ..
PART FAIL - - -
-_, cING
Post & Beam
Under Slab
Rough -In •
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain •
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG /Slab
Low Voltage
Fire Alarm
Final Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA /
Approach/Sidewalk Date ! ' Inspector Ext
Other:
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL